Atlantic Urological Associates P A

NPI 1053532572 - Urology - 208800000X

NPI Details
NPI 1053532572
Enumeration Date 05/01/2007
Last Updated 02/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JERRI JERRI
Position CHIEF OPERATING OFFICER
Phone (904) 794-7870
Fax
Practice Location
2460 OLD MOULTRIE RD
SUITE 5
ST AUGUSTINE FL, 32086-4197, US
Phone (904) 794-7870
Fax
Business Location
545 HEALTH BLVD
DAYTONA BEACH FL, 32114-1493, US
Phone (386) 239-8500
Fax
Toxanomy
Taxonomy Code 208800000X
License State
License Number
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According to our database, Atlantic Urological Associates P A NPI is 1053532572, taxonomy code is 208800000X Atlantic Urological Associates P A physically located at 2460 Old Moultrie Rd, St Augustine FL, 32086-4197. NPI Number 1033115704 has the healthcare provider type.

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1053532572 NPI number is provided on an as is basis without warranty of any kind. 1053532572 is maintained by the National Plan & Provider Enumeration System. The contents of Atlantic Urological Associates P A are for informational purposes only.